Outpatient Facility Coding Alert - 2021 Issue 8
Evaluation and Management: Turn to Virtual Check-In for Telephone-Only E/M
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Article Overview
This article is a practical coding overview for clinicians, coders, and billing staff who need to distinguish telephone-only evaluation and management services from other virtual check-in services. It focuses on 2021 Medicare and CPT/HCPCS guidance, payer coverage context during the Public Health Emergency, and how CMS-related updates affect reporting choices for different communication formats. The discussion also notes when broader telehealth modifier considerations do and do not apply.
Why This Topic Matters
Virtual check-in services continued to be used widely during the Public Health Emergency, and correct code selection affects claim reporting, payer compliance, and reimbursement. The article helps readers understand how recent CMS guidance and related Medicare payment updates fit into routine practice workflows.
Article Sections
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Look for CPT® Codes and Pay
Introduces the telephone-based CPT code family, the pandemic-era Medicare coverage context, and the associated payment discussion for 2021.
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Don’t Ignore HCPCS Level II Codes
Covers the HCPCS Level II virtual check-in options, including the 2021 addition discussed in the article and the related Medicare payment context.
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What to Do?
Addresses how the article frames reporting choices for telephone-based versus other virtual check-in communications and notes when broader telehealth considerations are relevant.
What You Will Learn
- How virtual check-in services are discussed in the context of Medicare and CPT/HCPCS guidance
- Which general service types are associated with telephone-only versus other communication technologies
- What 2021 CMS-related updates affected virtual check-in reporting
- How the article frames the relationship between virtual check-ins and telehealth modifier considerations
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician offices
- General surgery coding professionals
Codes Discussed
Code Ranges Discussed
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